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Abstract
Introduction: The Acetabular fractures are mainly caused by trauma and the incidence is rising in developing countries. Initially these fractures management were conservative, due to lack of specialized and dedicated acetabulum surgery centres.
The aim of this study is to assess the radiological and functional outcomes of surgical treatment of displaced acetabular fractures in Hue Center Hospital.
Methods: We analyzed 31 patients with acetabular fractures who were treated with open reduction and internal fixation. The data collection was performed over a 3-year period, from 7/2019 to 7/2022. Anthropometric data, Patients were evaluated clinically with Merle d’Aubgine - Postelscore and radiologically with Matta outcome grading. The factors examined include age, gender, fracture pattern, time between injury and surgery, quality of reduction on the final outcome and complications were recorded.
Results: There were 26 males and 5 females. Mean age was 46.52 15.96 years. Open reduction and internal fixation of fractures were performed using reconstruction plates. Thetime for surgical interventions was 9.6 days. The most common type of simple fracture was posterior wall fracture (22.6%), while the predominant fracture type in complex fracture was both - column fracture (16.1%). The results showed 25 out of 31 patients (80,6%) had good results (Merle d’Aubigne score). Twenty (64.5%) patients achieved anatomic reduction (<2mm step - off) based on Matta classification while eleven (35.5%) did not achieve the desired outcome. Post operative complications were deep infection (3.2%), iatrogenic sciatic nerve injury (3.2%).
Conclusion: Surgical treatment of displaced acetabular fractures produces good functional outcome despite the complications.
Keywords: Acetabular fracture, Merle d’Aubigne score, Matta radiological outcome
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| Published | 09-01-2025 | |
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| Issue | No. 85 (2023) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.85.7 | |
| Keywords | Từ khóa: Gãy ổ cối, thang điểm Merle d’Aubigne, tiêu chuẩn Matta. Keywords: Acetabular fracture, Merle d’Aubigne score, Matta radiological outcome |
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